OrganizationActive
Diabetic Nutritional Education
NPI 1164534095 · Nutrition Education Nutritionist · Phoenix, AZ
Provider details
- NPI number
- 1164534095
- Entity type
- Organization
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Authorized official
- Kevin Ellis, Chief Medical Director
Practice location
25500 N Norterra Dr
Attn: Hcfs
Phoenix, AZ 85085-8200
Phone: (602) 328-8400
Mailing address
25500 N Norterra Dr
Phoenix, AZ 85085-8200
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2014-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.